Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ACM MEDICAL LABORATORY INC

NPI: 1174517353 · ROCHESTER, NY 14624 · Clinical Medical Laboratory · NPI assigned 09/02/2005

$40.84M
Total Medicaid Paid
1,995,256
Total Claims
1,599,003
Beneficiaries
266
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialRAMACHANDRAN, GITA (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date09/02/2005

Related Entities

Other providers sharing the same authorized official: RAMACHANDRAN, GITA

ProviderCityStateTotal Paid
ACM GLOBAL LABORATORIES LLC NORWALK CT $106K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 656,280 $14.22M
2019 716,918 $13.96M
2020 610,819 $12.39M
2021 11,239 $276K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 364,436 172,749 $12.64M
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 138,574 70,236 $7.48M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 28,326 26,493 $2.60M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 74,801 73,131 $2.14M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 74,090 72,421 $2.12M
87480 46,251 44,907 $803K
87660 46,072 44,731 $798K
87510 45,835 44,502 $795K
87631 6,679 6,503 $732K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 25,955 25,796 $679K
80061 Lipid panel 53,483 53,109 $577K
84443 Thyroid stimulating hormone (TSH) 44,170 43,610 $565K
80053 Comprehensive metabolic panel 58,555 56,468 $525K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 24,959 24,843 $476K
80050 General health panel 13,455 13,341 $402K
87086 Culture, bacterial; quantitative colony count, urine 50,663 48,079 $361K
83036 Hemoglobin; glycosylated (A1C) 42,133 41,801 $359K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 45,177 42,300 $248K
86780 21,115 20,966 $243K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 529 526 $242K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 2,529 1,940 $195K
82607 15,230 15,094 $184K
80048 Basic metabolic panel (calcium, ionized) 28,428 26,110 $184K
85027 36,189 34,838 $180K
80348 46,571 23,290 $159K
87081 26,599 26,164 $156K
84439 19,943 19,695 $155K
87077 18,087 17,773 $153K
84702 10,350 8,254 $135K
86481 2,403 2,398 $133K
82728 10,419 10,284 $120K
87653 3,616 3,595 $113K
83655 9,499 9,416 $109K
86803 9,051 9,017 $107K
87070 13,211 12,992 $100K
83970 2,834 2,790 $99K
80349 29,366 17,924 $96K
87186 13,041 12,751 $95K
87505 1,057 1,037 $90K
80074 2,312 2,300 $84K
80346 24,158 14,065 $83K
87340 9,082 9,050 $82K
80323 25,801 11,610 $82K
84403 3,483 3,404 $81K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,866 2,817 $75K
81507 134 134 $74K
86762 7,085 7,051 $73K
84153 4,451 4,427 $71K
87522 Neg quan hep c or qual rna 1,642 1,602 $65K
83550 9,489 9,396 $63K
82746 5,723 5,685 $63K
80076 9,271 9,086 $61K
87088 7,819 7,672 $58K
81001 20,150 19,529 $57K
83540 10,861 10,742 $56K
88142 2,635 2,620 $55K
82570 25,762 20,284 $54K
85610 16,833 8,960 $53K
87252 2,109 2,104 $50K
86038 5,193 5,157 $50K
86706 5,337 5,310 $49K
82043 10,445 10,391 $49K
80350 23,184 10,267 $49K
86696 2,971 2,950 $48K
84146 2,636 2,611 $47K
84480 3,951 3,907 $45K
83520 2,519 2,508 $44K
84402 1,931 1,894 $44K
83001 2,629 2,612 $44K
86003 1,021 966 $43K
80324 12,857 8,449 $43K
82670 1,608 1,546 $39K
83880 1,579 1,493 $36K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,437 1,431 $36K
86850 4,974 4,937 $34K
86235 1,022 1,008 $32K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,096 1,087 $32K
82105 2,215 2,202 $31K
86140 8,852 8,149 $31K
83020 2,259 2,252 $30K
87536 381 377 $29K
85652 12,857 12,092 $28K
84163 2,098 2,095 $28K
83735 5,396 5,067 $27K
86765 2,697 2,681 $26K
83002 1,559 1,551 $26K
87254 348 345 $25K
84425 1,414 1,408 $25K
86160 1,207 1,191 $24K
86704 2,369 2,358 $24K
80353 7,778 5,569 $23K
86787 2,643 2,626 $23K
86735 2,458 2,447 $22K
86141 1,979 1,951 $22K
80069 3,020 2,767 $21K
83690 3,730 3,663 $21K
86708 1,993 1,979 $20K
84703 3,572 3,446 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 803 795 $19K
82950 4,597 4,586 $19K
82784 1,680 1,665 $19K
86901 6,600 6,537 $18K
86376 1,425 1,417 $18K
83921 1,140 1,135 $17K
86431 3,383 3,375 $17K
86665 723 711 $15K
84144 837 777 $15K
87902 66 66 $15K
86695 1,642 1,636 $15K
86200 1,314 1,311 $15K
87338 1,182 1,176 $14K
86618 1,287 1,281 $14K
82150 2,701 2,653 $14K
82627 703 684 $14K
82274 1,426 1,422 $13K
86900 4,846 4,796 $13K
84550 3,596 3,526 $13K
82533 869 816 $13K
82525 1,091 1,083 $12K
84481 981 977 $12K
87101 1,637 1,627 $12K
86709 1,248 1,241 $12K
80164 1,081 1,044 $11K
82677 551 548 $11K
83525 1,022 998 $11K
86225 954 949 $11K
88141 838 835 $10K
82785 675 673 $10K
84630 1,110 1,104 $10K
82550 1,815 1,728 $10K
83516 695 693 $10K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 572 566 $9K
86800 774 769 $9K
84156 2,751 2,572 $9K
86256 742 733 $9K
87046 449 445 $9K
36415 Collection of venous blood by venipuncture 8,743 7,663 $9K
85014 4,179 4,131 $9K
83090 566 560 $8K
82977 1,438 1,407 $8K
87209 607 591 $8K
84460 2,216 2,174 $8K
83615 1,472 1,290 $7K
86255 687 677 $7K
82951 750 750 $7K
80364 3,489 2,692 $7K
86336 506 503 $7K
81003 13,847 9,081 $7K
87272 675 666 $7K
84207 273 273 $7K
80178 1,175 1,105 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination 108 108 $7K
86039 719 711 $6K
82952 748 748 $6K
86664 601 596 $6K
82947 1,869 1,864 $6K
80362 3,305 1,795 $6K
82465 1,616 1,599 $6K
86147 151 150 $6K
84450 1,814 1,772 $6K
86663 627 621 $6K
83013 104 103 $6K
87253 376 370 $6K
86360 139 138 $6K
84152 338 338 $5K
80361 1,214 892 $5K
82565 1,346 1,325 $5K
87102 639 632 $5K
87177 612 596 $5K
80320 1,098 833 $5K
85730 840 830 $5K
87449 524 513 $4K
84681 238 236 $4K
83721 531 530 $4K
83993 267 263 $4K
86308 862 859 $4K
87045 452 447 $4K
84466 354 346 $4K
84478 755 721 $4K
87427 308 307 $4K
80321 623 481 $3K
84100 980 856 $3K
83789 621 462 $3K
84165 296 289 $3K
85018 1,533 1,474 $3K
85045 883 802 $3K
80358 1,723 992 $3K
87107 441 439 $3K
81050 699 684 $3K
84436 472 468 $3K
87109 180 177 $3K
84590 251 248 $3K
83630 190 188 $3K
84446 194 192 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 27 27 $2K
86021 168 166 $2K
87075 259 249 $2K
80325 649 471 $2K
87269 214 211 $2K
87350 205 205 $2K
83498 77 77 $2K
86359 58 58 $2K
86694 219 219 $2K
84132 510 494 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 48 37 $2K
86707 185 185 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 66 66 $2K
82390 184 183 $2K
84520 515 511 $1K
84597 122 122 $1K
82088 40 37 $1K
86592 503 494 $1K
82397 159 158 $1K
84134 132 125 $1K
86703 108 108 $1K
82103 106 105 $1K
87040 106 103 $1K
87324 130 129 $1K
80365 708 576 $986.75
86146 27 27 $980.18
87517 27 27 $940.46
86304 52 47 $935.92
82340 165 160 $866.15
84155 316 314 $860.28
86682 81 81 $803.53
87205 274 260 $787.34
87493 28 28 $782.99
86617 55 52 $750.29
84445 25 25 $734.31
82310 169 161 $710.16
87106 56 56 $691.20
80299 38 32 $672.29
81015 333 317 $605.73
86677 52 51 $554.25
86777 61 60 $554.00
87220 149 148 $516.40
86593 132 127 $474.64
80156 40 40 $433.23
82330 39 39 $412.12
87300 33 33 $405.30
80356 104 93 $400.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 26 26 $365.24
86705 38 38 $363.83
86644 40 39 $355.17
80177 28 28 $262.88
86334 13 12 $229.69
82378 15 15 $229.08
80047 26 26 $184.59
82040 53 51 $180.21
83835 12 12 $179.54
84075 51 51 $178.48
84244 12 12 $173.07
83986 616 375 $168.19
80354 282 218 $165.60
87110 12 12 $165.15
80171 12 12 $145.50
86645 16 16 $138.94
80345 43 30 $135.00
86063 26 26 $98.63
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 14 $96.26
87184 13 12 $90.85
85378 12 12 $78.63
84300 15 15 $64.30
80371 48 28 $0.00
80355 1,308 876 $0.00
83992 139 93 $0.00